HomeMy WebLinkAbout08-7467
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
7467
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Contractor:
Square Feet:
Est. Value:
Improv. Cost: 500.00
Date Issued: Name: ZEPHYR COMMONS LLC
Total Fees: 35.00 Address: 3629 MADACA LN
Amount Paid: 35.00 TAMPA, FL 33618
Date Paid: 2/11/2008 Phone: 727421-4823
Work Desc: INSTALL 60 AMP METERED POLE FOR SECURITY CAMERA
7467
ELECTRICAL MISC
ELECTRIC SERVICE/NEW
COMMERCIAL
McNEALON ELECTRICAL SERVIC
Address: 7874 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block:
Book: Page:
Subdivision: ZEPHYR COMMONS
Parcel Number: 35-25-21-0010-00700-0000
Section:
ELECTRICAL FEE
35.00
~ /(yJ~
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are
necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction
c) repairs or corrections not made when inspection called d) work not ready for inspection when called e) permit not posted
on job site f) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same.
"Warning to owner: Your failure to record a notice of commencement may result in your payin
twice for improvements to your property. If you intend to obtain financing, consult with
your lender or an attorney before recording your notice of commencement."
Complete s, Specifications and Fee Must Accompany Application. All work shall be
perf ed 'n accordance with City Codes and Ordinances.
~-~
PER~~
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
ELECTRICAL SERVICES, INC.
14208 BRIARTHORN DRIVE
TAMPA, FLORIDA 33625-3251
813.265.0648 FAX: 813.264.1289
February 5, 200S
City of Zephyrhills - Building Dept.
5335 Sth Street
Zephyrhills, FL 33542
RE: McNealon Electrical Services, Inc., License # EC130017S9
To Whom It May Concern:
Please accept this letter as authorization for Robert L. Johnson to sign permits on our
behalf.
Thank you for your cooperation.
ames E. McNealon
President
Owngr's N:ml9"'ZC.~Y"R COMMcrJ.,S
Owner'sAddress 13~Z.Cf ~ 1...A~,,(~:fi.~/5
Foe Slmpleiltl.."oldllr Namel
-"'-'02/05f.2008 13:00
,- ... '--:- \,tj-j;;:-;t)u"Uu:lU
+--~;J...-,~...- ~
~'f'",... ': ..
Dalo'Recelved
Fee Simple Tllleholder Address
I
I
JOB ADDRESS
SUBDIVISION
8132541289 MCNEALON ELEC}iR!CAl,.~~::
LilY or Lepnyrnlll~ t-'f!rmlT AIlPIlC'ATlOn' '.. LJ
Building Department
PAGE 07/07
";l~-llM-llllJ.OU21
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I
I
I
I LOT' I I
'35- Z5, Z I -:' DOlO - 007l..Y.::..)-- COOJ-;
(OBTAINED fROM PROPIiRTYTAX NOnCE'
SIGN D MOvE 0
I
,lsC>
GAtt' BLVD-
I
El
CJ
CJ
'PR.ov Ibs lDOA~
SQ FOOTAGE I
I>ARCEL 1011
~
D
TYPE OF CONSTRUCTION D
....OR"""" OF WORK ~
BUILDING SIZE L~IIL::::--
WORK PROPOSED
PROPOSED USE
D
D
.D
~ fl,~~ ~ jY.~
I HEIGHT
DEMOUSH
NEW CONSTR
INSTALL
SFR
BLOCK
ADD/AL T
REPAIR
COMM
FRAME
OTHER I
STEEL 0
OTHER I
o
BUILDING
TII
1$
I"~
Is
1$
o GAS 0
FINISHED FLOOR ELEVATIONS I
C8f
ELECTRICAl
0'
o
PLUMBING
MECHANICAL
..............
....
..r......
........
...... .....
..........................
J VALUATION OF TOTAl CONSTRUCTION
IfcI)AMPSERVlCE ~ PROGRESS ENERGY f;itR.E.c
'2-(!5fo~
I ()I()~ -' .
I VALUATION OF MECHANICAL INSTAlLATION (7\ cl- ~t...V
o SPECIALTY 0 OTHER 21"1 c\ r<x~
I FLOOD ZONE AREA DYES DNo
SJO
ROOFING
.....I..rf,....l ..T................
...............................
........................
'f'r
IIUILDER I
SIGNATURE
AddfllSS I
I!LECTRIC.IAN I cn\~b6?1
SIGNATURE .~
Address r
PLUMBER I
SIGNATURE .
Addlll8S I
MECHANICAL I
SIGNATURE .
Address I
OTHER I
SIGNA'tURE
Address I
COMPANY I
flElllSTEREO Y I N FEE CURRENT L.:!.L!:!.J
-;S.tf' UcensS# I
COMPANY IMt~ EI~cJ ~,~.
REGISTERED I Y I N I F!!E CURRENT lr.L!LJ
License # lEe. \ ~oo \ "189
11111" r
'"11111""1111111111 Fur
RESIDENTIAL Allach (2) Plol Plans; (2) sets of Building P;ans; (1) set of Energy Forms; R-O.W Permit for new construction,
MInimum. ten (10) working days aller submlltal date. Requlrgd onsllll, ConslnlctIon PIMS, S10rrnwatllr Plans wi Sill Fence Inslalled,
Sanitary Facilities & 1 dumpstor: SlIe Work Permll for subdivislonsnllrge projects
COMMERCIAL Attach (3) complele sets of Building Plans plus a Life Safely Page; (1) set of Energy Forms, R'().W Pennlt for new conslnlctlon.
Minimum ten (10) working days after submiltal date. Required onsfte, Conslnlction Plans, Slonnwalar Plans wi Slit Fence installed,
Sanitary FaclllUgs & 1 dumpster. Site Work Pennll for all new projects, All commercial requll'8menll; must meet compliance
SIGN PERMIT Allaoh (2) sets or Engll1llllflld Plans.
-'PROPERTY SURVEY required for all NEW conslruction.
11JI'llllllllllllfrlrll',IIIHIJIIIIIIIIIIIIIIIJUIIIII'1IIIJIIJ"I'lrIIIIIIIJIIIII"lfllllllllltllrllllllllll1IIIIllltllllllrtr.tllllli.111111111
Directions: . "
Fill out application completely.
Owngr & Conlnoclor sign back or appllcaUon. nolart:!:ed
If o""r $2500, 8 Nollce of Commencement Is required. (AlC upgrades over $5000)
Agent (for the ~nlraclor) or POWlIr or Allomey (for !he _) would be someone with no18r1zed letter from owner authorlztng same
OVER THE; COUNTER PERMITTING (Front or Applic:aUon Only)
Reroofs' Sewers Service Upgrades AlC Fllflces (PlOl/Survey/Footage)
DrlVlaways.Not over Counler lfiOn public roadways..nll8ds ROW
02/05/2008 13:00 8132541289
MCNEALON.ELECTRICAL
PAGE 01/07
ELECTRICAL SERVICES, INC.
14208 BRIARTHORN DRIVE
TAMPA, FLORIDA 33625-3251
License # EC13001789
FAX TRANSMITTAL
DATE:
FROM:
L nn Barnhardt
TO:
FAX:
FAX:
PHONE:
PHONE:
cc;
File
PAGES incl. cover
Karen, here is all our info to set us up in your system. Also, here is a copy of the permit
application that we will bring in with a check. Please let me know how much the permit
will be so that I can write the check for the correct amount. Thanks for your help.
-fA C- ~i'-(;L \ V"Y\ . L'-{ '" n e
uex-\ Z-C1Y"', n~+
f1J (! 0:5 t-
Feb, 5. 200811:48AM
No. 5457
p, 1/1
ACORD CERTIFICATE OF LIABILITY INSURANCE - I DATE (MMfODIYYYY)
TM 02/05/2008
PRODUCER Phone (813) 988-1234 Fax 813-988-0989 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ASSOCIATES AGENCY, INC. ONl Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE
PO BOX 16190 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
11470 N. 53RD ST. AI "..D RV R'" '''f
TEMPLE TERRACE FL 33687
INSURERS AFFORDING COVERAGE NAIC#
Aaencv lIe# ROO1766
INSURED INSURER A: AUTO OWNERS INSURANCE CO. 18988
MCNEALON ELECTRICAL SERVICES, INC. INSURER B: AUTO OWNERS INSURANCE CO. 18988
14208 BRIARTHORN DRIVE INSURER c: SOUTHERN OWNERS INSURANCE CO. 10190
TAMPA FL 33625
INSURER D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AlL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR AOO'L TYPE OF INSURANCE POLICY NUMBER PD~~~:,:~g/~~~ P~~~Y ~~~~'~,N LIMITS
LTR INSRO
GENERAL LIABILITY 20641728 10/01/07 1 0/01/08 EACH OCCURRENCE $ 1,000,000
.--- DAMAGE TO RENTED
X COMMERCIAL GENERAl LIABILITY PREMISES (Ea Qccurence) $ 50,000
I CLAIMS MADE ~ OCCUR MED. EXP (Anyone person) $ 5,000
C PERSONAL & />DV INJURY $ 1,000,000
f-
GENERAl AGGREGATE $ 2,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000
I n PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY 4470630901 10/01/07 1 0101 108 COMBINED SINGLE LIMIT
- (Ea aCCident) $ 1,000,000
X ANY AUTO
-
AlL OWNED AUTOS BODIL Y INJURY
- (Per person) $
SCHEDULED AUTOS
B X
HIRED AUTOS BODIL Y INJURY
X (Per aceldenl) $
NON-OWNED AUTOS
~
t-- PROPERTY DAMAGE $
(Per aCCident)
GARAGE LIABILITY AUTO ONL Y - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONL Y AGG $
EXCESS I UMBRELLA LIABILITY 4470630900 10/01/07 1 0/01 108 EACH OCCURRENCE $ 1,000,000
o OCCUR o CLAIMS MADE AGGREGATE $ 1,000,000
A $
R DEDUCTIBLE $
RETENTION $ 0 $
WORKERS COMPENSATION AND I we STATU- I I OTHER
TORY LIMITS
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $
ANY PROPRlETORIPARTNERlEXECUTIVE
OFFICERiMEMBER EXCLUDED? EL DISEASE-EA EMPLOYEE $
If yes, de.cribe under EL. DISEASE-POLICY LIMIT $
SPECIAL PROVISIONS below
OTHER:
DE SCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY NDORSEMENTI SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO
City of Zephyrhllls-Building Department DO SO SHAlL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, IT'S
5335 8th street AGENTS OR REPRESENTATIVES
Zephyrhills, FI 33542 AUTHORIZED REPRESENTATIVE
~
Attention: 780-0021 Trevor McCarthy
ACORD 25 (2001/08)
Certificate #
144870
@)ACORD CORPORATION 1988
02/05{2_0gJElu 13 :00 :::.;: .~ .l.BJ.326412S9
- ~-.... .&.'-'A;oI IV,UV .I:nA uu.J G~" ..,oCt:: .111~tAre
,. -'A_~~(JBQ. '.CERT;IFICA TE OF LIABILI I RANCE?'c', I .....-....,..... -." '11 "
02/05/2008
PROOOC!=R (863) 293-4653 .FAX (863)Z93- 5861 THIS CERTIFICATe IS ISSUED AS 'A MATTER OF INFORMATION
Insure America Group, Inc. ONt. Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE
POBox '7641 HOLDER. THIS CERTIFICATE DOES NOT AMEND, eXTEND OR
At TER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
Winter Haven, FL33883-7641
INSURf;~S AFFO~DING COVERAGE NAlC#
INSU~ED McNealon Electl"1cal Services, Inc. INIlI)Flen. fI: Br;dgefield Employers lnsurance CO",,~ny
14208 Br;arthorn Drive INSURER s:
Tampa I Fl 33625 INSlIRlm c:
._" -.
INSLlRt:/l 0:
.. d, ,--
INSUREFl e:
MCNEALON ELECTRIC.o.L .:.813.2_
Am<l]rf J:i~lr ' v~._.
PAGE 05/07
~OOl/OOl
~VERAQES
THE POUCIES OF INSUFtANCi: LISTED BELOW HAve BEEN ISSUED 'TO THE INSUREO ~ED ABOVE; FOR THE POUCY peRIOD INOlCA TED. NOTWITHSTANDING
ANY REQUIFlEMENT, TERM OR CONDITION OF ANY CONTRACT OR OTI'ER DOCUMENT WITH RESPECT TO WHICH tHIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE 'NS~NCE AFFORDED ey THE POLICIES DESCRIBED HERI:IN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND COtIDlTIONS OF SUCH
I'OLrCIES, AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS.
_ TYI"E OP INGlJRANCE" POLICY NUMlaSR POLICY~~-
GI!N~"L LIABILITY
I-~OMMERCIAL GeN&RA~ LIABILITY
CLAIMS MAD!: D oeeu~
-
QEN'L Mla~EGIlTE LIMIT fI"PUF.I; l>eR:
I POLICY n ~Gfr n Loe
~lITOMO!lILE LIABILITY
I-- Ar-rY" AUTO
A'_L OWNED flUTOS
~
_ SCH'EOULED AUms
_ HII'lEO'lllTOS
ND~OWNED AUTOS
-
---
eACH OCCURRr:l'fCE
~~~~.~,
MF.r.l exp IAny 0"" !lOIIOn)
-.
PERSONAL & f'J)V INJUF\'Y
LIMITS
$
s
s
$
OEN~L flGClAet:>ATE
--
I"ROOUCTS . COMI"IOP AGl> $
COMBINED SINGLE Lll.lrT
(Eo. accldnnl)
BODILY IIMiRY
(Po, PO,"onJ
aoclL I' INJURY
(PerllCCi<I..,t)
PROpeRTY OAIIlAGE
(Per .oQlQen~
ROARAOE LIIIIlILITY
IINYIIU'TO
~ESSlU"Ilf'ra.LA LIABILITY
-1 OCCUR 0 CLIIIMEl MADE
I r-;EOUCTlBLE
I RETENTION $
WCRKe~SCOMPE"NSAnONANO
EMPLO"lERs' LIABILITY
A ~~~6=~~~lli~CLJTlVE
If fC, d""e~be under
SPECIIIL i"ROVlSlOIII3 b~lllIN
MilE"
ALlTO DNL Y . E,UCCIOENT S
OTHER TWAJIf
AUTO ONLY:
E'.J\ACC .,
AGG ;
'-
r;;^~ OCCURREI>IeE; ,
^GG~GATE ,
S
0830-37065 11/01/2007 11/01/2008
-
500,000
S~
SOO,OO<l
DESCRIPTION OF OPERAT1ONs I LOCATIONS I VEHICLES I IiXCLUSIONS ADDED !II' ENOOllseMENT I SPECIAL PROVISIONs
c
c 0
SKOULD ANY Of' THE ABOVE DElCRrBEO POUCISl Be CANCElLEllllEf'ORE THE
EXPIRATION llATE THEREOF. T"E ISSUING INSUReR WILL ENDE!AYOll TO MAIL
~ ClAYS WRITTEN NOTICE TO T"E CEI'ITlFICATE MOLDEft NAMEI:1 TO T"E LEFT,
BUr PAl-VilE TO IIWL SUCH NOTICE S"ALL IMPOSE NO OBLIGATION OF! LIABILITY
OF /\NY KINO UPON THE RER. ITS AIi TS REPR TATlVES.
AUTHORIZED REPRSS TI
J_es Kn; h
C;ty of Zcphy~h;11s Building Department
5335 ath Street
Zephyrhills, FL 33542
ACORD 25 (2001108) FAX; (813)780~OO21
02/05/2008 13:00 8132E412BS~
reo. " .LUU~ II :HAM
, . "
ACORD CERTIFICATE OF LIABILITY INSURANCE ' - " r !lATE CMMJD DIVVV'\')
TM. 02/0512008
PRODIXEP. Ph,,", f~13) 900-1234 "mi' a1$-9aB-0989 THill CERTIFlCA~ IS ISSUED AS A MATTeR OF INF~MAnON
ASSOCIATES AGENCY. INC.
PO BOX 16190 ONLY AND CONFERs NO R1CMTS UPON THE CERTIFICATE
~~~~ THIS CSRTlfJCATE DOES NOT AMIafD, EXTEND OR
11470 N. 53RD ST, . ~~ . ..... .....-
TEMPLE TERRACE FL 33887
INSURERS AFFORDING COVERAGE NAIe #.
Ailenc" l;,,*: ROO17M
IN$UREO INSURER A: AUTO OWNERS INSURANCE CO. ..
18988
MCNEALON ELECTRICAL SE:RVICES, INC. INSUREFl 8: AUTO OWNERS INSURANCE CO. 18988
14208 BRIARTHORN DRIVE INSURER c: SOUTHERN OWNERS INSURANCE CO. 10190
TAMPA FL 33625
INSURliR 0; -.. "-
INSURER E:
MCNEALON ELECTRICAL =l.22..s4'?i:~__ PAGE 05/07
-~~o 5458 Pili
COVERAGES
~ POLICIES OF INsURANC!;: LISTI;O BELOw fi.1\VE BeEN IS.~ED TO rwe INSuRED N/lMEO ABOVE FOR 'THI: POl..ICY PERIOD INOICATCD. NOTWI1HSTAII/DING
ANy REOUIREMENT, TERM OR CO/lOITION OF fW( CONTRACT O~ QTIoII.R DOCl.lI.1Em WITH RESPECT TO WHICIol THIS CERTIFICATI'. MAY BE ISSUI;D Or<
W-Y PERTAIN. Tl-iE INSURANCE AFFORDED BY THE POLICIES DESCRIBI;O HEREIN IS $UIM:CT TO All1l1E l1<Il~. EXCLUSIONS I'oNCI COII[)/TI0NS OF SUCH
POLICIES I'oGGREC-ATE LIMIT$ $HOWN W-Y HAVE BEEN REDIJCEO BY ~A1D ClAIMS
f--~o 0 00. . - .. .. ,- -_. .~_...
lN3R ADD. 'TYPe OF INSURIINCE POLICY NUMEle~ ~~;M~:~~ r=~-:~N UMlTS
LTR IflIS~
~M;Ml. llll8lJTY 20641U8 10101107 10101108 EACH OCCURRENCE . 1 000,000
X COMMERCIAL GENERAl. llAeILITY ~-=~~=~~~, $ 50.000
:=b CLAIMS MADE W OCCU~ MED r;)(~ (A~y QI14 PtlBltM) $ ,-~
~
C f-- P€flSOr.lO,L & AOV INAAY $ 1,000,000
I-- GF./lEAAL. At;GREGAT1i' " 2,000,000
~L AGGRFt'.A'fE L/Mn """PLIES "'ER PROOIICTS-COPlP'OP N'~ $ 2.000,000
n F~O. nl
POl/CV JECT Loe
AUTCMgllll.E LIABILITY 4470630901 10101107 10101/08 COMBI~n SII\K;lE LIMIT
X ANY ALlTO IEs ecoldnnl) to 1,000,000
-
AlL ~D AUTOS BODILY INJljRY
f-- IPnr P.",on) $
SCHEDUl.ED AlJT'OS
B ~ - -
~ HIRED AI.JrOS BOlJIL Y IN~RY
~ NON-OWNED AUTOS IP9r eocI09l1l1 "
'--
- -- PRO~ERTY tlAMA.GE ~
lPer eCcldnlU)
GARACe l.'AElILITY AIJTO ON!. Y - EA ACCIDENT ,
==i ANY AUTO 01l11:R THAN EAI'q; $
AUTO 0IIl Y: AC-Q. $
exCESS' UMBRelLA llAIIUTV ,u70630900 10/01107 10101108 EACH OCCURRENCE $ 1,000,000
rJ- OCCllll 0 CLAIMS MADE AGGREGATE $ 1,000,000
. ............-.
A $
0,
R DEDUCTIBLE ~
--
RETENTION $ 0 ~
WORKl!A8 eOMI'ENSA'I10N AND ~~T^TIj. I IOTHEi:'
TO~.v u..,.s .-
~MPLOYEftS. LIABILITY "'.L, EActi ACClOEm $
ANY PRtlr~llIl'IIII/IIAIl'TNEIlIEllECIIT1VE
OFFlC_Ill~ IlIUIWDED? E.L DISEASE-eA EMPLCyr:E' ,
If,.., "!le"~ ut'Mt.r I:,L DISF..o.sE-POLICY LIMIT ~
SPECIAL PlIOVllIDN!l ....I.w
OTHER:
DE SCRIPTION OF OPERATIONSfLOCA IONSNEHICLES/EXCL~ SIONS ADDED BY NDORSEMENTI SPECIAL PROVISIONS
CERTIFICATE HOl.DER
CANCELLATION
SHOUlD /IoNV OF 1l1E IIBOve DeSCR'Be" POLICIES BE CilNCE1.I.F.D eeFOI'e THE
EXPIRATION DATE T14iREOF, ~e IS6UtNG INSURER WILL ENOI;AVOR TO ~IL 10 tlAvs
WRITTEN NOTICE; TO ~E CERTIFICATE HOlDEI< NIIII.fID TO TH: LEFT. BUT FAILURE TO
CRy of ZoPhyrhlll$.f3Ullellng De~artment 00 so SHllLL IMPose NO oeL/GATION 00 LIABILITY OF A~Y KIND IJF'ON THE INSl,J<EI<. Irs
5335 8th strfl"t AC-EmS OR REPRESEmATlVES.
Z8p~ms, FI 33542 AUTHORIZEf:' REPRI:Sr;:N1Al'tV~
~
AUentlon: 780.0021 Trevor McCarthy
ACORD 25 (2001108)
Certlflcete # 144870
@l ACORD CORPORATION 1988
02/05/2008 13:00
81326412B9::::: '::':R:.:. <
MCNEALON ELECTRICAL
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-~~ -. 02/05/2008 13:00 8132541289 _~_ _ MCNEALONELECTRICAL PAGE 03/B7
. STATE OF FLOR~~i"__
;. DEPARTMENT OF ~OSINESS AND PROFESSIONALR~~ULATION
ELECTRICAL CONTRACTORS LICENSING BOARD (SSO) 48"'7-:1395
',... ~. 1940 NOR'I'H MONROE STREET
"~~ TALLAHASSEE PL 32399-0783 '
MCNEAL ON JAMES E
MCNEALON'ELECTRJ:CAL SERVICES INC
14208 BRIARTHORN DR
TAMPAFL 33625
I .....STATE.~~FL()RIDIl . , AC# 2b5.2314
. ; HPAaTHJ!lN'l' OF BtrSnmsS AND
' : ".' ' . P~O:&1SSSXONA1. RBWLAT:ION
" EC~30017B907/11106 068006985
;~~>c~~~Bb :&:tiBC'rRlCAL CONTRACTOR
"~'-,:'~ON,~' ttMll'S. E
\:~~N;, :~tiS~'1'R:tCAL SER.VICES IRe
'IS CERTIFI.ilO untlM: t:b.. prov1do.... of c:h.~89 FS.
.bp1r..l:ia"'41l~~" AUG 31, 20'08 lID60711007:l<4
DETACH HERE
AG# 26'52314
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TheELECTRJ:'~ CSNTB'C'1'O~ ~;~V;"
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Under the p:t'oVi.sions of Chapt~.%'j 4-:8'9 FS .:,
Expi:ration date: AUG 31" 20-08 "~-"':;,"'.-:,
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JEB BT1SR-
GOVERN'OR
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FL 33625'
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MCNEALON JAKES E
MCNEALON'ELECTRICAL
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813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name ~'E:.P\4'(R COMMoJ..s L LC-
Owner'sAddress 13lo2. 9 ~ LAIIlE'/11'A( Fi53'/5
Fee Simple Titleholder Namel
Fee Simple Titleholder Address I
"1150
WORK PROPOSED
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SQ FOOTAGE I
LOT #
JOB ADDRESS
SUBDIVISION
PARCEL ID#I
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D DEMOLISH
PROPOSED USE
TYPE OF CONSTRUCTION
NEW CONSTR
INSTALL
SFR
BLOCK
ADD/ALT
REPAIR
COMM
FRAME
OTHER
STEEL
OTHER I
BUILDING SIZE
DESCRIPTION OF WORK
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BUILDING
1$
1$ :5:00
D PLUMBING 1$ I
D MECHANICAL 1$ 1
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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ELECTRICAL
I fc{J AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
~ PROGRESS ENERGY
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
BUILDER I
SIGNATURE
Address I
ELECTRICIAN I~
SIGNATURE
COMPANY
REGISTERED
Y / N
FEE CURRENT
Y/N
COMPANY
REGISTERED
License # I
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I Y / N I FEE CURRENT I Y / N I
License # I EC \ ~DO \ 189
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y / N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/ N FEE CURRENT
License #
YIN
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
111111111111111 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
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Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A1C upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades Ale Fences (Plot/Survey/Footage)
Driveways-Not over Counter if.on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
,US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the)ob is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y R NOTICE OMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or haslhave produced
as Identification.
CONTRACTOR
;;ubscribed and s m to affirmed} befrl '; this J
,J.J1,..5:.lD08 by ~M~S I; e €AWN
Who Is)are personallY known to me or has/have produced
as identification.
Notary Public
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Notary Public
J. LYNN BAR~'IDT
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,. t,l(PIRES: January 28, 2010
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Commission No.
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Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
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